Bilateral Visual Loss After Liposuction: Case Report and Review of the Literature

Moura, Frederico Castelo; Cunha, Leonardo Provetti; Monteiro, Mário Luiz Ribeiro

doi:10.1590/s1807-59322006000500018

Cited by 21 publications

(16 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The fellow eye is involved in up to 15% of patients within 5 years, but the risk of recurrence in the same eye is less than 5%. There is no treatment for acute NAION but it is essential to evaluate these patients for underlying treatable atheromatous vascular risk factors and to prevent precipitating factors such as blood loss, sleep apnea syndrome or nocturnal hypotension (6)(7)(8) .…”

Section: Discussionmentioning

confidence: 99%

Bilateral nonarteritic anterior ischemic neuropathy following acute angle-closure glaucoma in a patient with iridoschisis: case report

Torricelli

Reis

Abucham

et al. 2011

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

A 55-year-old woman was referred to our clinic because of a one-week history of visual loss and raised intraocular pressure in the left eye followed 4 days later by visual loss in the right eye. Slit-lamp examination showed bilateral conjunctival hyperemia, slight diffuse corneal edema, shallow anterior chamber and fixed and dilated pupil in both eyes. Splitting of the anterior layers of the iris with fibrillar degeneration extending for approximately one quadrant inferiorly was presented in each eye. Fundus examination showed opitc disc edema with no vascular tortuosity and no cup in both eyes. The condition was treated as bilateral acute angle-closure glaucoma in a patient with irisdoschisis. After medical treatment and improvement of visual acuity, perimetry revealed a significant visual field defect especially in left eye; this case represents a rare concurrence of acute angle-closure glaucoma and bilateral nonarteritic ischemic optic neuropathy. Although most cases of elevated intraocular pressure, including acute angle-closure glaucoma, do not result in optic disc edema and irreversible vision loss, variations in the vascular supply of the nerve optic head along with others ocular systemic risk factors, may predispose certain individuals to nonarteritic ischemic optic neuropathy during periods of elevated intraocular pressure. Keywords

show abstract

Section: Discussionmentioning

confidence: 99%

Bilateral nonarteritic anterior ischemic neuropathy following acute angle-closure glaucoma in a patient with iridoschisis: case report

Torricelli

Reis

Abucham

et al. 2011

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

show abstract

“…The literature is full of varied reports of complicated patients during or after liposuction, and it is enough to mention some of these complications to encourage specialized care and stay within the recommended guidelines. There is a wide spectrum on liposuction complications: pleural and lung injury, bilothorax, bowel herniation, hematoma, seroma, lymphedema, and abdominal wall injury with damage to intra-abdominal viscera such as the liver, biliary tract, intestinal, or bladder perforation necrotizing fasciitis, blindness, and coronary fat embolism [37][38][39].…”

Section: Miscellaneous Complicationsmentioning

confidence: 99%

Anesthesia Management for Large-Volume Liposuction

Granados-Tinajero¹,

Buenrostro-Vásquez²,

CeciliaCárdenas-Maytorena³

et al. 2019

Anesthesia Topics for Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

The apparent easiness with which liposuction is performed favors that patients, young surgeons, and anesthesiologists without experience in this field ignore the many events that occur during this procedure. Liposuction is a procedure to improve the body contour and not a surgery to reduce weight, although recently people who have failed in their plans to lose weight look at liposuction as a means to contour their body figure.Tumescent liposuction of large volumes requires a meticulous selection of each patient; their preoperative evaluation and perioperative management are essential to obtain the expected results. The various techniques of general anesthesia are the most recommended and should be monitored in the usual way, as well as monitoring the total doses of infiltrated local anesthetics to avoid systemic toxicity. The management of intravenous fluids is controversial, but the current trend is the restricted use of hydrosaline solutions. The most feared complications are deep vein thrombosis, pulmonary thromboembolism, fat embolism, lung edema, hypothermia, infections and even death. The adherence to the management guidelines and prophylaxis of venous thrombosis/thromboembolism is mandatory.

show abstract

“…Because it occurs so infrequently, it is difficult to determine its incidence with certainty. POVL has been reported after a number of surgical procedures, including liposuction, [1] various orthopedic surgeries, [2] laparoscopic and robot-assisted urological surgeries, [3,4] and extensive skin grafting. [5] Nonetheless, the cases with the highest apparent risk for POVL appear to be cardiac and spine cases, and these procedures are the most studied with respect to the incidence and potential risk factors for its occurrence.…”

Section: Perioperative Vision Loss: What's the Cause?mentioning

confidence: 99%

“…[1,2] POVL has been described in a variety of operative procedures, the most common being spinal and cardiac surgeries. [1,[3][4][5][6] Posterior ischemic optic neuropathy is more common following spinal surgeries, while anterior ischemic optic neuropathy (AION) has been described more often following cardiac surgeries. [1][2][3][4] Most of the information about perioperative ischemic optic neuropathy is from case reports and a few case control studies.…”

Section: Introductionmentioning

confidence: 99%

“…[1,[3][4][5][6] Posterior ischemic optic neuropathy is more common following spinal surgeries, while anterior ischemic optic neuropathy (AION) has been described more often following cardiac surgeries. [1][2][3][4] Most of the information about perioperative ischemic optic neuropathy is from case reports and a few case control studies. [1,2,[6][7][8][9][10][11][12][13][14][15] The American Society of Anesthesiologists (ASA) post-operative the Institutional Review Board, we retrospectively analyzed the case records of patients who underwent OPCABG over a 10-month period from October 2008 to August 2009 at our tertiary care cardiac center.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perioperative optic neuropathy in patients undergoing off-pump coronary artery bypass graft surgery

2014

View full text Add to dashboard Cite

show abstract

Bilateral Visual Loss After Liposuction: Case Report and Review of the Literature

Cited by 21 publications

References 22 publications

Bilateral nonarteritic anterior ischemic neuropathy following acute angle-closure glaucoma in a patient with iridoschisis: case report

Bilateral nonarteritic anterior ischemic neuropathy following acute angle-closure glaucoma in a patient with iridoschisis: case report

Anesthesia Management for Large-Volume Liposuction

Perioperative optic neuropathy in patients undergoing off-pump coronary artery bypass graft surgery

Contact Info

Product

Resources

About